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PATRICIA C PURNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1255 HWY 54 WEST, FAYETTEVILLE, GA 30214
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER ROAD, SUITE 500, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003624
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001944C
GA
05
100001944D
GA
Enumeration date
06/14/2006
Last updated
04/11/2019
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